Organization
MY FOOT CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE POURMOUSSA (OFFICE MANAGER)
(818) 344-6300
Entity
Organization
Contact information
Practice address
18909 SHERMAN WAY, B, RESEDA, CA 91335-7700
(818) 344-6300
(818) 774-9719
Mailing address
18909 SHERMAN WAY, B, RESEDA, CA 91335-7700
(818) 344-6300
(818) 774-9719
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
CA
Other
Enumeration date
10/22/2010
Last updated
07/21/2022
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